| NPI | 1720230873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225000000X Orthotic Fitter (Licence: IL CFm01697) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: IL 049-177617) |
| 363AM0700X Physician Assistant, Medical (Licence: IL 95212) | |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2008-10-21 |